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General NPI Number Information
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NPI Number | 1700807385
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS COUNSELING CENTER
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3300 WALNUT AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-3240
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Country | US
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Telephone | 916-485-1211
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Fax | 916-971-3380
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Provider Business Mailing Address
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Address Line | 3300 WALNUT AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-3240
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Country | US
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Telephone | 916-485-1211
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Fax | 916-971-3380
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Authorized Official
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Title or Position | DIRECTOR/ THERAPIST
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Name | MS. MARILYN RUTH EDGAR
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Credential | LMFT
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Telephone | 916-485-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 27783
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License Number State | CA
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